Grey's Anatomy s23e04 Episode Script

1
[UPBEAT MUSIC PLAYING ♪]
[GREY] Somewhere around 1600 BC,
surgeons invented sutures made
of sheep and horse intestines.
They were called catgut,
and used almost
exclusively until the 1970s.
What, are you Batman? What time is it?
It's early. I just thought I'd
get a jump on orders and notes.
- You have all day for that.
- Yeah, but I was hoping if I get it done
and out of the way early,
I can get in on a surgery.
You know, I haven't
been in the OR in days.
Too tired for sympathy. Good luck.
All right.
[GREY] Catgut was unpredictable.
It often dissolved at random
and caused allergic reactions.
- Yeah?
- Hi, uh, I Sorry to bother you.
I was looking over my research proposal,
and I think there's
a typo in your notes.
It just says "mid."
Did you mean midterm or
Not a typo. I think your idea is mid.
Middle of the road. Mediocre.
You don't think colon cancer outcomes
in metropolitan areas is compelling?
I think it's too broad and
it's been done to death.
It's mid?
Well, thanks for your feedback.
[CLEARS THROAT]
[UPBEAT MUSIC CONTINUES ♪]
[GREY] Meanwhile, in a
chemistry lab somewhere,
-
- scientists tried to
invent a permanent polymer,
but it kept degrading.
Have you been here before?
- No.
- Same.
I hope it's not a sob fest.
Cry enough at home by myself.
[GREY] Surgeons saw this failure
and found an opportunity
dissolvable stitches.
The answer was there all along.
We just had to know where to look.
My patient is asking
if a triathlon is considered
strenuous exercise.
[CHUCKLES] I'd say so.
This is weird.
My neuroendoscopy was rescheduled.
Oh. Could be a glitch in the system.
No, my biopsy and
craniotomy were also moved.
I'm completely clear on Friday.
I'm calling IT.
- Uh, don't do that.
- Right, I'll call scheduling
Look, it was me.
Since the stars aligned
and our exes miraculously
had our kids at the same time,
I booked us a weekend on Whidbey Island.
You had my schedule cleared?
Yeah. We can just relax
and spend time together.
Are those patients okay with that?
The fellow's handling them.
He seemed happy to help.
[GRUNTS]
I saw that.
- How are you?
- You need to stop.
Stop because you don't
want to talk about it?
Or stop because you are fully healed,
no more abdominal pain or fever
I'm good, just focused on work.
What are you studying?
I have to master the latest
epilepsy guidelines before 8:00.
You already have a spot in
Shepherd's lab? Nepotism much?
She's launching a new study.
Anybody could apply.
Just stay off the Olympic floor.
That's mine.
You can't call dibs on a floor.
Yeah, I don't have to. I'm Norton's guy.
I have a full floor of patients.
Can't say who it is, but
one of them is in the NBA.
Good morning. All right, the deadline
for research positions is coming up,
so if you have not applied for
one, do not wait. All right?
Get to work.
Hey, uh, you didn't show up
to Beckman's info session.
I told him you'd be perfect for his lab.
- I didn't ask you to do that.
- Oh, it's no big deal. I
I don't need your help.
Did you hear that? He's so out of line.
- Sounds like he was doing his job.
- Now I need you to stop.
Hmm. Still feels like I'm
checking in to a hotel.
Hmm.
Where's all the equipment?
It's hidden. It's more calming that way.
How calm's it gonna be if someone codes
and you have to go hunting
for a defibrillator?
I have enough problems up
here without your two cents.
Ah, I thought Dr. Fancy Pants was
working financial miracles up here.
Yeah, he's golfing today.
I call that a miracle.
Yeah, Lillian Kemp, 808.
Kwan's your resident. Make sure
he doesn't do anything illegal.
Hey, um, I saw you have a
total cranial vault tomorrow.
Do you use the Melbourne
method for that?
Yep. [MUMBLES]
- Cool.
- Dr. Warren, you're late.
Sorry. Sorry. I had drop-off this
morning and the streets were closed
- because of the Sockeye Salmon Run
- I don't need to know why.
- I just need my cases covered.
- They are, 100%.
And the 3D model for tomorrow's
craniosynostosis case?
Oh, it's pretty much done.
Good. I rely on my fellow
like I rely on my right hand,
which is in fact my dominant hand.
I eased you in.
Now I need you to level up.
Roger that.
Consent this morning's patients
and make sure all the wound
vacs are changed in the SICU.
I thought you said you
had everything covered?
It will be, if we both get to work.
Now I got to go build a 3D model.
Okay, wait. Hey, um, do you think you
could get me in on
that surgery tomorrow?
- [CHUCKLES] Did you hear Dr. Wright?
- Yeah.
At this rate, I'll be
lucky if I'm still on it.
- Thanks.
- Okay.
- [PATIENT SNIFFLING, GRUNTING]
- Tracie, I'm Dr. Lincoln.
This is Dr. Millin.
Looks like we've got a couple
of salmon runners on our hands.
- What gave it away?
- Her hat fell off.
I spent all day [GROANS]
I spent a whole day
making them. [GRUNTS]
Which no one asked you to do.
[GROANS] I got trampled
when I went back to get it.
- Swimming upstream? That's brave.
- Try stupid.
- May I?
- Yeah. [GROANING]
That's what I get for trying to
get my sister out of the house.
We could have done literally
anything else, but no,
she wanted to run a freaking
10K in honor of fish.
She needs a full trauma panel,
chest and left tibia X-rays.
She has chest wall trauma, so
A full cardiac assessment.
I will page cardio. I'm on it.
Lillian Kemp readmitted
for recurrent episodes
of severe epigastric pain associated
with intractable nausea and vomiting.
Medicine asked for a surgical consult
after extensive workup didn't
reveal etiology of symptoms.
I have been here so
many times this month,
I pretty much [CHUCKLES]
moved in.
And we'd like to get her out,
so anything you can do to speed this
along would be greatly appreciated.
We will do everything we can to
get to the bottom of her symptoms.
Well, I'm s I'm sorry.
"Everything you can"?
Yeah, we're not leaving
here until we have answers.
[STUTTERS] That is my hope as well.
- Your hope? Aren't you the doctor?
- Khadijah.
I'm sorry, my children
don't handle stress well.
Mom, we are paying good
money for you to be here.
It is okay to have a certain
level of expectations.
- Mm. Uh
- And we will meet them.
We just need a little more
time to review your chart.
- [LILLIAN] Hmm.
- [BAILEY CHUCKLES]
Are they all that demanding?
[SIGHS] I'll set up a bagel platter.
That should do it.
He just got here.
Transport's bringing him up now.
You reached the transferring physician?
Yes, patient's name is Miguel Velasco,
eight-year-old otherwise healthy male,
transferred after a minor head trauma
during soccer practice this morning.
No LOC, but mild headache, nausea.
Parsons General has sent us a couple of
these since their neuro
department closed.
- Any guesses?
- Most likely a concussion.
Textbook. How should we proceed?
Admit for obs, but no
advanced imaging is indicated.
Discharge in the morning.
Limit screens, manage
pain with acetaminophen,
and light physical activity.
Mm-hmm. Sounds like a plan.
I'm going to round in the ICU.
- Let me know if anything changes.
- Yep.
[CRYING] Make it stop! Make it stop!
- [SHEPHERD] Dr. Griffith.
- Help my son! Help my son!
All right, let's get him on his side
and give him one milligram of lorazepam.
[CRYING] Oh, my God. Miguel, baby.
But if you support this, I'm sure we
can find funds for that highway project.
Okay, talk soon.
There's no medical
leave in my line of work.
Grant is a chief of staff for
State Representative Mallard.
Yeah, we're trying to get more
funding for after-school programs.
You have my vote. I got a
seven-year-old who needs to stay busy.
- Bryant.
- Uh, Grant de Vera, 34-year-old male,
post-op day one from a
right fibular osteocutaneous
free flap following an MVC.
Strong arterial signals with
no signs of venous congestion.
Mind if I take a look?
- So is your funding going to pass?
- I need four more votes
- and they're holding out for leverage.
- Hmm.
[HEARTBEAT PULSING]
- Yeah. You're healing nicely.
- Do you want me to do that?
Yeah. So I'm gonna be in
surgery most of the day.
Dr. Warren and Dr. Bryant
are gonna hold down the fort.
Hey, uh, you want me
to assist in your DIEP?
Did you do everything
else I asked you to?
Well, no, but, um
So, no.
- Yeah. You're learning, Warren.
- [CHUCKLES]
Hi, Migue, I'm Dr. Shepherd.
This is Dr. Griffith.
You had a seizure.
Do you know what that is?
It's kind of like when the brain's
electrical signals get mixed up.
Is it gonna happen again?
We're not sure yet, but we are
gonna take good care of you.
Bright light, okay?
- Pupils are equal and reactive.
- Okay.
All right, would you squeeze my fingers?
Has he ever had a seizure before?
No, never. Is this from his fall?
- It's possible.
- [PARENT] He just started soccer.
We went to Italy a few months
ago and it sparked an interest.
- We saw a Juve game and ate gelato.
- [PARENT CHUCKLES] Yeah.
He was chasing the ball at practice and
then he fell and
landed right on his head.
I knew soccer was a bad idea.
You did the right thing bringing him in.
We are gonna check him out.
Why don't you order a CBC, a CMP,
coag panel, and get him up to CT?
- Already on it.
- Mm-hmm.
What do you see?
Left segmented comminuted
tibial fractures.
What's that?
She has multiple fracture
fragments of the tibia.
Multiple. I'm an overachiever.
[CHUCKLES] Indeed you are.
Millin, what's the fix?
I'd put her in an ex-fix
and then she'll need an ORIF
once the swelling goes down.
All right, what do we got?
We got another [CHUCKLES]
hot doctor is what we got.
We've also got morphine on board.
Are you single?
Because my sister is divorced
and she is ready to mingle.
I'm sorry, she's very
pushy and inappropriate.
It's okay.
Well, if it's okay, are you single?
Uh, yeah.
Ry, single and employed
- Enough, Trace.
- Can somebody get me up to speed here?
Tracie was trampled at
the Sockeye Salmon Run.
In addition to her extremity
fractures, she also has a non-displaced
sternal fracture and is
complaining of shortness of breath.
Okay, chest X-ray is
negative for pneumo.
EKG has some nonspecific T wave changes.
Initial troponins are mildly elevated,
but I see no reason to
delay treating her leg.
So let's get her to CT and then
we'll just keep an eye on things.
Great. Get her ready for the ex-fix.
Uh, would you mind paging me when the
CT and next set of troponins come back?
- Nope.
- No, you don't mind? Or, no
Tracie, let's get you upstairs.
[TRACIE CHUCKLING SOFTLY]
CBC and CMP are normal.
There's nothing remarkable
on the CT or ultrasound, um
Biopsy from the endoscopy
[SCOFFS] Look, show only
mild chronic gastritis.
She's had every test twice.
You want a latte?
Do I want a latte?
Do
- I mean, are they good?
- Well, it's like a $2,000 machine.
I mean, if you're
already making one then
[CHUCKLES]
[WEBBER] How's it going?
[STAMMERS] See, I still don't
get the maroon scrubs.
They're merlot.
Oh, got to have high
fashion to treat rich people?
How's it going with the patient?
[SIGHS] I'm psyching myself up.
Lillian's kids are gonna have my head
when I tell them we've
still come up empty.
Really? Nothing?
I'm going to refer her to
GI for a second opinion.
Well, I know you did
the best that you could.
- They'll understand. Mm.
- [SIGHS]
Your latte.
Okay.
[CLICKS TONGUE]
Hmm. Starting to see the appeal.
- Mm-hmm.
- Now let's go to battle.
Yeah.
[SMACKS LIPS] Mmm. Okay.
She's still not hitting her milestones
and they're not saying that
it's because of what happened
[CRYING] but how could it not be?
I'm-I'm so sorry. I can't.
Can somebody else go?
Of course.
Would you like to share your story?
Oh, um
Yeah, I guess I guess I could try.
It was, um, three years ago.
It just all happened so fast.
And, uh
[STAMMERS]
Sorry, are there walnuts in these?
- 'Cause I'm allergic.
- Do you have an EpiPen?
Uh, not on me, so I should
probably go home and get it, um
Wait, no, I'm a doctor. I can
take you down to the ER and
That's very generous, but that's
No, it's not necessary.
Well It's better safe than sorry.
- So
- Um
- Go. Go, go. Go.
- Okay.
- Hey, have you seen Shepherd?
- ICU for a consult.
Okay.
Are you okay?
- Fine.
- Look, I know something's wrong.
You never miss work and
you were out for three days,
and this morning you looked
- like you were in pain.
- I said I'm fine.
I don't need you checking on me.
- Yeah, but if you need anything
- I don't need anything.
I'm handling it.
Look, would you just
let me be there for you?
Look, you don't have
to tell me everything,
you don't, but if you want to talk
I don't, and I don't want
to talk about it with you.
[SIGHS] Oh, my God, is that a
[GRIFFITH] Giant cyst
on his parietal lobe.
- Paging Shepherd.
- [LINE RINGING]
[OMINOUS MUSIC PLAYS ♪]
You're giving up?
Well, what are we paying
you for, the nicer pillows?
Amari. Calm down.
They just gave us the same
speech that we heard five times
from the doctors on the regular
floor, except those times were free.
Well, not exactly.
We're really sorry.
I told you they don't care about Mom.
All they care about
is if the check clears.
Okay, if all that we
cared about was money,
then we would put your mom through a
battery of costly, unnecessary tests.
Is that what you want? [STAMMERS]
And just because you
can afford this room
doesn't mean that you are exempt
from treating people with respect.
We are not rich.
I'm a paralegal.
He's an electrician.
We pooled our savings to get this room.
She can't eat.
She can't walk to the bathroom.
We just wanted to make sure we put
everything that we have into helping her.
Uh And I'm sorry, I
Just Unfortunately, your
your mom's symptoms
are hard to pin down.
No matter what floor you're on.
But we're referring you
to the best GI we know,
and you will absolutely
be seen this week.
Hopefully, that's worth
the price of admission.
- It's better than nothing.
- Mm.
Dr. Kwan will get you
ready for discharge.
Just follow up after you see the GI.
[SIGHS] Finished checking Grant's flap.
Looks good. Is something wrong?
I forgot my daughter has
early dismissal today,
and I can't find anybody to pick her up.
I absolutely loved early dismissal.
Well, I used to hang out with
friends at the pizza buffet,
but I can see how in
your case, it's stressful.
Yeah. She's been sitting in
the school office for an hour.
Well, why don't you go get her?
Wright was all over me this morning
for being late. I can't leave.
Okay, well I can I can do it.
Yeah, my wife would kill me.
So then just go.
You know, Wright's gonna be in
surgery for at least another hour.
I can cover till then.
Okay, okay.
Yeah, listen, just stick to flap checks
and changing wound vacs in the SICU.
- Flap checks.
- But, hey, if anything happens, call me.
I'm all over it, okay? Go.
Arachnoid cysts often go
undetected because they're small.
Migue's is very large, and it
is putting pressure on his brain.
That's what caused the dizziness
and seizure? Not the fall at soccer?
Most likely. Once we remove
it, his symptoms should stop.
We've booked an OR, and we
can get him up there soon.
You wanna do the surgery now?
Don't you need more
tests or time to prepare?
I know it feels really sudden and scary,
but I've done this many times before,
and we should remove the
cyst before it ruptures.
It's his best option.
Please, be careful with him.
All right, get him prepped.
I will see you upstairs.
And me too?
Oh, um, what about my research?
I'll work late to make up for it.
Okay, as long as it's done. Hmm.
You're following me into the OR?
It's a cool case.
[RECEPTIONIST] Thanks for waiting.
How can I help you?
I have a pregnant woman who might be
having a possible
allergic reaction, and
I'm feeling fine, really. It's
It looks like bed five is open.
- Can we take that?
- I think I'm just gonna go home
- 'cause it's
- Oh, no, you should really get checked.
I'm not allergic to walnuts!
I lied. I-I actually love walnuts.
I-I just said that to get out
of sharing in group, and of
[PANTING] Of course, now I'm in an ER,
which is bringing back everything
I was trying hard not to remember.
I'm My heart is racing.
Is it Wow. Is it hot in here?
Okay, okay. Let's get some fresh air.
Okay.
No.
- Hi.
- No.
No. [BREATHES DEEPLY]
What are the odds that the biopsy
for celiac was a false negative?
I imagine not zero. Maybe,
but I've never seen it.
I, uh And I thought you
were discharging Lillian.
They have spent almost every
dollar they have to get here,
so I don't wanna just send them home.
I'm sure you did the best you could.
See? Stop saying that because
I don't know that I did.
I mean, do I not have
more tricks up my sleeve?
I should be able to figure this out.
- I am not mid.
- Didn't say you were.
What's mid?
Mediocre.
According to my TA.
- Well, that's just rude.
- [SCOFFS] Yeah.
You know, every research
idea I have is old news.
You know, everyone in my program
works half as much as I do
and finishes twice as fast.
And now, I can't even figure out
what's wrong with my own damn patient.
Aren't you gonna, you know, pump me
up, give me some kind of pep talk?
No, I know how it feels to put
your blood, sweat, and tears
into something that did not work
out the way you expected it. [SIGHS]
You want a latte?
I'd love one.
[BAILEY] Mm.
A little tighter.
There.
Look at you. You're in a
medieval torture device.
Because I was trying to help you.
You're so stubborn. [GASPING]
I don't know why I bother. [CHOKING]
- [MACHINE BEEPS]
- Tracie, are you feeling okay?
- Ultrasound?
- BP's soft.
- Tracie. Tracie.
- [LINCOLN] Take deep breaths.
Hi. I'm with Tracie Pearson.
She's dyspneic,
- and systolics are in the mid 80s.
- What's happening?
- Why can't she breathe?
- [CHOKING]
Ultrasound shows hypokinesis
in the anterior segment.
- Uh, okay.
- You're gonna be okay.
Dr. Ndugu wants us to take
her down to the cath lab.
Ndugu, the heart surgeon?
What's happening?
You said her chest CT was clear.
It is, but Tracie's heart is
having trouble contracting.
But she's gonna be okay, right?
We don't know, which
is why we have to go.
[RAPID BEEPING]
- Oh, my God, Tracie!
- Okay, BP is dropping.
- Trace.
- Pulse ox is 80.
- Get an intubation kit.
- [RYANN CRYING] Tracie!
- Tracie!
- [PA ANNOUNCER] Code Blue, third floor.
Code Blue, third floor.
- [RYANN] Oh, Tracie.
- Code Blue. Code Blue.
[PHONE CHIMES]
Uncle Clint texted.
He wants to know how you're feeling,
and if they've diagnosed
you with too much sugar, yet.
You tell him to mind his damn business.
I swear that man's losing his
mind along with his vision.
Well, he's not wrong to wonder.
Started with vomiting, same as you.
Is this your brother?
Pain in my behind is what he is.
Not as bad as Aunt Cici.
Yeah, my sister's trying
to heal me with food.
Ironic since the woman
has stomach ulcers.
Well, food can aggravate ulcers,
but it doesn't cause them.
All I'm saying is
she's a nail technician.
What does she know
about nutrition? Pfft.
Ugh.
Amelia.
- Hey. Are you stressed?
- How'd you guess?
Well, you're in luck.
I snagged us a 90-minute
couples massage for Saturday,
and they come to the room,
- so we don't
- And you didn't wanna check with me first?
To see if I like massages?
- Uh, do you?
- I like 50 minutes.
[STAMMERS]
After that, I get a little bored,
and I don't like couples massages.
[STAMMERS] I think they're weird.
[INHALES]
Also,
I don't like canceling surgeries
unless it's an emergency,
which you would have known
if you had asked me first.
I-I-I'm-I'm sorry.
I thought that surprising
you was romantic.
Do you want me to cancel it?
I don't know. I
I have to operate on an
eight-year-old. [SIGHS]
[SIGHS]
[NDUGU] You have femoral access?
[MILLIN] We have IVUS on standby.
[NDUGU] All right. Guide catheter.
Advancing to the left main coronary.
Heparin, please.
- Go ahead and shoot the angio.
- [MILLIN] Mm-hmm.
[MILLIN] Is that a proximal
LAD dissection with a thrombus?
[NDUGU] Unfortunately, yeah.
Let's prepare to place a stent.
- I got this. You can go if you want.
- [MILLIN] I wanna help.
[NDUGU] Okay. Guide wire.
- So, that, that's how you showed me
- Oh, thank you.
What in God's [GASPS] You're
gonna mess up that carpet.
Okay, hear me out, all right?
Lillian's sister, Aunt Cici,
has recurrent kidney
stones and stomach ulcers.
Her brother has vision
loss and low blood sugar,
and cousin Bobby's got chronic diarrhea
and eats antacids like they're candy.
- This might be genetic.
- Bingo.
And it appears to go
beyond GI symptoms too.
Kidney stones, ulcers,
reflux, vision loss.
I wonder if it's MEN.
Multiple Endocrine Neoplasia?
It causes tumors in
the parathyroid glands?
And the adrenals. It's pretty rare.
Y-Yeah, but I've seen it
enough to know that it tracks.
Kwan, okay, order genetic testing,
and let's get a PET scan
to see if there are tumors.
PET scans can take weeks to schedule.
[BAILEY SIGHS]
She's VIP.
- Get her in today.
- All right.
[SHEPHERD] Craniotomy complete. Basin?
Scalpel.
[ADAMS] I can't believe that Parsons
thought this was a concussion.
[GRIFFITH] Heard the whole
hospital might shut down.
[SHEPHERD] Neurosurgery is the
third department to be eliminated.
[ADAMS] If the whole hospital closes,
does that mean we absorb overflow?
[SHEPHERD] Well, we'll have to.
But in the meantime, these
misdiagnoses are a problem.
This entire day blew up because Parsons
told me that Migue had a concussion.
All right, incision
to the dura complete.
What are next steps?
[GRIFFITH] Guided ultrasound, aspirate
the cyst, perform the cystectomy.
[SHEPHERD]
Correct. Ultrasound and needle.
Mm-hmm.
Hang on.
It looks like there's something
moving inside the cyst.
[ADAMS] What the hell is that?
[SHEPHERD] It looks
like a daughter cyst.
[GRIFFITH] Arachnoid
cysts can have daughters?
[SHEPHERD] It's not an arachnoid cyst.
It's a parasite.
[SIGHS]
[GRUNTS] I think a call
from the head of the largest
neighborhood watch in his district
could win him over.
- Hey. Sorry, but are you in pain?
- [SIGHS]
- Yeah.
- You'll do it?
- Okay.
- Great.
[GRUNTS]
Let me know how it goes.
Talk soon.
[SIGHS, WINCES]
Okay. Yeah. Have you ever
read The Art of Persuasion?
So my dad gave me a copy
when I was about nine or ten,
and I used it to convince him to
buy season passes for the Hornets.
Okay, this flap is swollen, but
we do have healthy arterial flow.
- Should I be worried?
- No, no, this can happen.
I'm just gonna check with
our fellow to make sure, okay?
Come on, come on, come on.
[LINE RINGING]
You've reached Ben Warren. I
can't take your call right now,
but go ahead and leave a
message, and you know what to do.
[WILSON SIGHS]
Thanks.
Okay.
[SIGHS]
Two seconds in the ER with
the smell of disinfectant
and the awful lighting, and I'm
just right back to that night.
- Were you induced?
- [SCOFFS]
One minute I was having
dinner with my husband,
next I knew, an OB was
elbows deep in my uterus.
My C-section was done
by a heart surgeon.
I thought heart surgeons
operated on hearts.
He did that too.
The OB's phone kept ringing as she
was slicing me open, over and over.
- You wanna know what the ringtone was?
- Mm-hmm.
- "Hit me baby one more time."
- [CHUCKLES SOFTLY] No.
[CORRIE CHUCKLES]
[SIGHS] Now every time I hear my
favorite middle-school dance song,
I just have a full-blown panic attack.
I remember random things too. Um
the fake flowers in my hospital room.
The orderly's necklace jangling
as she rushed me down the
hall, the monitor beeping.
It was my worst nightmare.
I didn't know if my
babies were gonna make it.
I didn't know if I was gonna make it.
And I've been around medicine my
entire adult life, but that monitor
I can hear it when I take a shower.
I can hear it when I pick up my kids.
I hear it when I'm sleeping.
I just hear it everywhere.
I quit my job because I knew that I
would hear it forever, and I just
I don't know how to live with that.
[NDUGU] All right, deploying the stent.
Withdrawing the balloon.
Prepare to shoot another angio.
- Beautiful.
- [MILLIN] Hear that, Tracie?
You're gonna live to run another race.
[NDUGU] Nice thinking on your feet.
You've got the instincts.
I mean, you-you really should
talk to Beckman about research,
you know, assuming cardiothoracic
is still what you want.
[MONITOR BEEPING]
[MILLIN] She's in V-tach?
[NDUGU] Okay. All right.
- [MILLIN] No pulse.
- [NDUGU] Charge to 150.
- [FLATLINING]
- [DEFIBRILLATOR CHARGING]
Right, clear. Come on.
[RHYTHMIC BEEPING]
- [MILLIN SIGHS] Okay.
- [NDUGU] Yeah. Fluoro.
All right, dissection
could have extended.
There. Push pressors.
Can you try to reopen
it with another stent?
- [FLATLINING]
- [NDUGU] I can try,
but it's already propagated
into other vessels.
- [FLATLINING CONTINUES]
- [MILLIN] Come on, Tracie, come on.
[WINCES, GRUNTS] What do you see?
There is a small collection
of blood under the flap,
which is likely what's
causing your pain.
Dr. Wright's still in surgery.
She asked for you to wait.
Okay. Um
Can you tell her that
his flap is compromised?
The tissue has limited perfusion.
I think it's pressure from a
hematoma underneath the flap.
- Then he doesn't have time to wait.
- Yeah, I know that. Thank you.
- You know I can hear you, right?
- Yeah, yeah.
Um, everything is fine.
Everything's okay. We just need a
minute to then figure out a plan.
Can we get Dr. Warren?
He's not available at the moment, so
[SUCKS TEETH]
Get me a staple remover and
maybe some leeches, please.
- L-Leeches? N-N-No "maybe."
- Yeah.
If you're gonna put leeches
on me, I'd rather you be sure.
I'm sure. I'm sure, okay?
Now let's just do this
before it's too late.
[CORRIE] Here.
Thank you. I am so sorry.
I just dumped all over you.
Ugh. I'm one Britney Spears
song away from complete ruin.
I know I'm lucky.
I survived and my child is healthy.
Even though you
both survived, it doesn't
mean that you don't need to grieve.
I actually thought this
time would be easier.
And the pregnancy's
been physically smooth,
but inside
- I don't know how I'm gonna do this.
- You will.
You'll put one foot
in front of the other.
And you'll do it because
you love that baby.
I don't know if that's enough.
[SIGHS]
If you need anything or you just need
to talk, I'm gonna give you my number.
[SNIFFLES] Oh, thanks.
- I'll give you mine too.
- Okay. [CHUCKLES]
[CHUCKLES] You're clearly
just as messed up as I am.
You cried twice.
[BOTH LAUGH]
I know you have mixed
feelings about Kwan,
but, you know, few residents
would take such a thorough history.
They just want to cut.
Who says I have mixed feelings?
Aren't you mad at Norton?
Just direct your contempt towards him.
Well, trust me, he's getting it, too.
Oh
Is that what you're feeling mid about?
I'd like to think I'm a
good judge of character.
But I fell asleep on
the job on this one.
I mean, he's dismantling the institution
that I've spent my
entire career building.
Well, you're the boss. Fire him.
I wish it was that easy.
Catherine loves him.
[BAILEY GASPS]
[WEBBER] Oh, my God.
Tumor right on the duodenum.
Who's mid now?
[HOPEFUL MUSIC PLAYING ♪]
[BRYANT] You doing okay?
Surprisingly, yes.
I guess working with politicians
prepared me for these little guys.
- [LAUGHS]
- [PHONE DINGS]
O-Oh, my God.
- I got the votes. [CHUCKLES]
- Art of persuasion, huh?
Art of favors.
I said we'd support zone initiatives
so Royce would support us.
He's a yes.
What happened? All right, what
Why didn't you call me?
I tried to. The flap lost signal.
I had to do something.
Sorry, I got held up in the OR.
Oh. Compartment syndrome?
Yeah, it, uh, it came on fast.
Yeah, color's coming back.
Good call, Warren.
Yeah, um, look, I-I actually wasn't
Sure about the leeches.
He wasn't sure about
the leeches at first,
but he knew that we had to act as
soon as he saw that the leg was dusky,
- and that's what we did.
- It's a great save.
Grant, unfortunately you're not
gonna be able to be on your phone.
We need to get you to the OR so we
can wash out and repair your flap.
Warren, let's go scrub.
- Do you want me to get him prepped?
- That'd be great. Thank you.
[GRIFFITH] Never seen a hydrodissection.
[SHEPHERD] They're not common.
I saw one during my fellowship,
but I've never actually done one.
[ADAMS] You sure now's the time to try?
[GRIFFITH] We obviously can't leave it.
[SHEPHERD] And we can't aspirate.
The parasite secretes toxins
into the hydatid fluid.
If any of it leaks into his brain,
he could go into anaphylactic shock,
and even if he doesn't, he'd be on
medication for the rest of his life
just to make sure that the
parasites don't come back.
We have to remove the cyst intact.
- [ADAMS] By forcing it out with saline.
- [SHEPHERD] Let's hope.
- All right, starting irrigation.
- [ADAMS] Okay.
More irrigation.
[ADAMS] Could the saline pop it?
[SHEPHERD]
I'm trying not to think about that.
[GRIFFITH] Okay. Just a little more.
[SHEPHERD] Come on.
Just a little more.
Come on.
[GRIFFITH] There.
[SHEPHERD EXHALES HEAVILY]
[GRIFFITH] That might be the
coolest thing I've ever seen.
[ADAMS] Now can we pop it?
I'll send it to path.
- Millin. Hey, wait up. Millin.
- [MILLIN SNIFFLING]
- [SNIFFLING]
- Millin. Hey, hey, hey.
- Are you Are you okay?
- We lost a patient.
[SNIFFLES]
This wasn't on us.
Her heart was too injured to recover.
It's not about fault.
- A person died.
- I know.
And we did everything that
we could do to prevent it.
It wasn't enough. [SOBBING]
[SHEPHERD] We'll monitor
him for a week or two
and then he'll be on
anti-parasite medication,
but yeah, he'll be okay.
How did he get a parasite?
Oh, this kind of parasite
isn't found in the US
and even then they're very, very rare.
Are they found in Italy?
It can be.
[SOBS] Oh, my God. This is my fault.
You don't know how he got it.
You cannot blame yourself.
He's always begging to come
with me when I travel for work.
I finally caved with Italy.
I wanted to introduce him to Juventus
and the Egyptian Museum and gelato.
[SOBS] I'm never taking
him anywhere again.
You wanted to spend time with him.
It sounds like you made
some wonderful memories.
I'm needed on a consult.
- Would you call me when he wakes up?
- Yes.
Why didn't the tumor show up in
any of the scans she had before?
Well, we did a specialized scan.
It's only indicated if you
have certain genetic diseases.
So she has it? MEN?
We still have to wait for the results,
but the tumor is specifically
in line with MEN1.
Well, you figured it out.
I can't believe it.
There's a name for what I have.
Let's not get too excited.
You also have a tumor in your intestine.
Uh-huh, but we know how to treat that.
[CHUCKLES] Yes, we'd like to schedule
you for surgery as soon as possible.
- That should alleviate the symptoms.
- [SIGHS]
Oh, thank you both for
getting me this VIP service.
You were right, it
was worth every penny.
Well, you're lucky to
have a tight-knit family
that looks out for each other.
Yes.
Now, do I get to keep these sheets
or do they have to stay here?
- [KHADIJAH LAUGHS]
- [AMARI] Oh, my gosh, Mom.
[SIGHS]
How is she?
One of Tracie's coronary arteries
was damaged during the accident.
Uh, we took her to surgery
and tried to repair it,
but she sustained massive heart damage.
- Tracie died.
- [CRIES]
I'm so sorry.
But we were fighting.
We did everything we could.
No.
[SOBBING] No, she can't be.
[SCREAMING] You have to get her back!
You have to get her back!
[CRYING] Get her back! Get her back! No!
Finished dressing changes
for all of Wright's post-ops.
Oh. How'd it go? Did
you save Grant's flap?
Uh, we did. We did,
largely thanks to your help.
Awesome.
You're going through my progress notes?
Uh, actually, Wright wants to
recommend me for this fellow position
on the Washington Association
of Plastic Surgeons board.
I'm just, uh, you know,
looking at the job description.
- Congratulations, man. That's awesome.
- [CHUCKLES] Thank you.
Hey, um, do you need help preparing
for that total cranial vault tomorrow?
Uh, no, no, no. I'm good. I'm good.
But, uh, I do have some
orders that need placing,
some wound vacs that need checking.
And Mrs. Galoosian in 4135.
- She needs to be ambulated.
- Right. So it's like that?
I'm sorry, it's just I [SIGHS]
I cover for you and I get
you back in good with Wright,
and you won't even consider
getting me on the case.
- You, uh You covered for me?
- Yeah.
Oh. Like the time I covered for you
when you ordered therapeutic
heparin instead of prophylaxis?
- W
- Or the time that you forgot
to change the dressing
on that post-op patient?
See, we look out for each other because,
you know, it's the right thing to do,
not because we expect
anything in return.
So, uh, I'm going to
go prep for tomorrow.
Thought you went home.
Oh, I live here now.
Yeah, I need to move
out of my aunt's place
before we, uh, murder each other.
I did go through a thing,
but I'm afraid if I
start talking about it,
I won't be able to
come back, and I just
I really need to focus
on work right now.
Okay. [CHUCKLES]
If you need a place to stay,
you could move in with us.
So you don't want to talk to
me, but you'll live with me?
Just saying. Empty room in the house.
- What about Bryant?
- I'm sure he'll be cool with it.
- Good night.
- Good night.
Oh, you're heading out?
Uh, switching gears.
I'm gonna work on my
research project for a while.
Oh, you have an idea?
I do. Um,
my TA still doesn't love it, but
yeah, I don't care what she thinks.
I know it's worthwhile.
Whoa, whoa. W-What is it?
Well, so Lillian spent six
months trying to get a diagnosis,
but it wasn't until she was on
the VIP floor that we found one,
and I just want to know why.
I mean, was it the
extra time we gave her?
Or [STAMMERS] access
to outpatient testing?
Since when did you care
so much about the VIP wing?
[STAMMERS] I don't,
but I want to use the results
to get better care for everyone,
regardless of whether they
can afford VIP service.
Well, that sounds great.
- Yes.
- Mm.
So, I reached out to Norton and
we're having dinner tomorrow.
[WEBBER] Well, now, why
do you want to talk to him?
Look, I know you don't like him,
but he might be onto something.
I really don't think so.
- Let's see what the data says.
- Bail Bailey.
Hey.
Hey.
How'd your surgery go?
Unexpectedly.
Kid's brain cyst turned
out to be a parasite.
- Oh.
- He's gonna be okay, though.
I don't like surprises
in the OR or at home.
Okay.
I used to.
But being able to plan
for what's ahead
it helps me stay sober.
Look, I'm I'm really sorry.
I wasn't thinking.
I mean, I was,
but it was about getting away from
work and kids and having space for
[SIGHS] us.
It's been, uh, a long time
since I wanted that with someone.
[STAMMERS] I mean, I
should have just told you.
I mean, I forgot that, y-you know,
nothing I've told you so
far has freaked you out.
It's true.
I'm I'm gonna cancel the hotel.
No, don't.
The thing is, Whidbey Island,
it's not a surprise anymore.
So, you wanna go?
I've never been, and I would really
like to spend the
weekend with you alone,
but could you send me
the itinerary in advance?
Oh.
We're never leaving the room.
[CHUCKLES]
[GREY] On a good day, life feels like
an endless string of opportunities.
You're still here?
Mm-hmm.
Everything okay?
[INHALES DEEPLY] Long story.
[CHUCKLES] Come on, you
gotta give me more than that.
It was actually a good day.
You have no idea how
happy I am to hear that.
I'll tell you everything over dinner.
[GREY] On a bad day,
all we see is problems.
Sometimes, the solutions are obvious.
I'm working, make an appointment.
I know it's your job,
but it's confusing.
Is this about Beckman?
I miss you.
And if this were different,
I would make a clean break
and I would get over
you, and I would move on,
but I can't.
So when you go out of your
way to help me, it's confusing
because I don't know if you're doing it
because you're the
new residency director
or if it's because
And you seem to be doing fine,
which is great for you. [SNIFFLES]
I sh I should go. [SNIFFLES]
Hey. I'm not
I'm not fine.
- [SNIFFLES] You're not?
- No.
I
I miss you too.
[GREY] But a lot of the time,
you have to dig down deeper,
find the hidden truth.
Taking a break?
Uh, I caught up on all my notes,
and Mrs. Kemp is resting
up for her surgery tomorrow.
- So, yeah.
- Good.
You should rest up too,
assuming you'll be
scrubbing in with Dr. Bailey.
I will. Thank you.
Nice work today.
[MAN] Benson.
Benson.
Dad?
[GREY] Just know, you
may not like what you see.